Hybrid Consultant in Acute and Community Medicine

Job overview

An exciting opportunity has arisen to work as a Hybrid Consultant between Acute Medicine and The Community Trust Virtual ward at a time when we are redesigning, aligning and optimising our clinical services and pathways . These posts will join our Acute Medicine Consultant team and be fully integrated and supported. We are very keen to support individual areas of interest and posts are open to external and internal applicants.

For further information please contact : Dr Saskia Jones-Perrott

Main duties of the job

• Supervise medical admissions, ensuring timely junior team assessment and consultant post-take review of all new patients referred to Acute Medicine across the acute medical floor.
• Lead and support the daily medical handover, with a focus on patient safety, continuity of care and learning opportunities.
• Support the work of the medical and nursing teams in this clinical area.
• To develop enhanced clinical skills, especially in the assessment and management of acutely ill patients.
• To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.
• To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.
• To follow patients throughout their clinical pathways.

Detailed job description and main responsibilities

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year. It covers all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities. For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:

• 7.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work. One DCC is allocated for clinical admin work. - Morning Inpatient Reviews (AMU and AAU): On average, acute physicians review 10 patients each morning on the Acute Medical Unit (AMU) or Acute assessment unit (AAU). - Short Stay Ward Rounds: Each short stay ward round typically involves 12 - 14 patients. - Acute Medical Take in ED: The average intake per hospital site is 40 - 60 patients over 24 hours. Each acute physician is responsible for approximately 10 - 12 post take reviews per four hour shift between 0830-1700 hours - Same Day Emergency Care (SDEC): SDEC service runs from 0830-2130 hours divided into 3 shifts and on average will manage 30-35 patients per day at each site, including new and follow ups. This work is supported by a well structured team, including the nurse in charge of SDEC, alongside a dedicated junior workforce comprising GPs, ACPs, PAs, and junior doctors.

Supporting Professional Activities (SPAs) - 0.5 SPA (Corporate): This allocation will focus on corporate responsibilities, with the specific scope agreed upon at the time of appointment. - 0.5 SPA for supervision and teaching/training

The successful candidate will be expected to contribute to:

• Audit and quality improvement initiatives
• Clinical governance activities
• Team management and leadership
• Development and enhancement of acute medical services
• SPAs: Dedicated to Appraisal and revalidation The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan. Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.